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Home My WebLink About9734-z FOII~ NO. ~: TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 9734 Z Date Ma~r fi9 19 78 Permission is hereby granted to: Fr~ce~ Rose Ho~nes · ~./.,C Grace Park to ....Build.. P.r.l.~a.t e...0n~.. F.a~il,y... ~vell i~g ......................................................................... at premises located at ~..~'~5. .~,~,.,~J~a~'ll..~..La*'3,~ ........................................... ....M..a.t...t. ttuck, New York /.07- /'7. hL ~I-~ /~/g ~:Sv~'rt-~ f4/~p~ ~©/~ pursuant to application doted .~a.~. .......... 'J. ................................... , 19..~.., and approved by the Building Inspector. Fee $.....9.1.,.9D ....... Building Inspector 1000--108-4.-7.20 FOItM NO. 6 TOWN OF $OUTHOLD , Building Depar~ment Town Clerks Office $outhold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispasal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of pccupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New BHilding ................ Addit4on ................ Old or Pre-existing I~uilding_ ............... Vacant Land .............. Loca, on Of Propert~4/~../~..~ ~/~.~.¥.,.~. -...~...,~ .Z.'~.~.~ ~ ~~ ...... ........... ............. ............. ............................... Unde~riters Approval ..~G.~:~.~ ................... Planning D~rd Approval ~.,~. .............................. Request For ~empara~ Ce~ificate ...................... ~ ............ Find Certificate I I Fee Submitted $ .................................... Construction on above described building an~~l~ appl~le c~es and regulations. ................ ~ay ~ ............................................ (stamp or CUSTOM BUILDERS December ]-9, ]-978 P, O. BOX 992 MAIN RD. CUTCHOGUE, N. Y. 11935 PHONE ~ A ~l~.~N 1. ION. Building .)epartment Town of Sou%hold, Southold, N. Y. location: ¢iest .~ide fi, iat t i. tuck, of Slijah Lane, N. Y. N/0 Tabor ~oad i, [Ben Nendozza, President of Frances Rose Homes, Inc., do hereby state that the aluminum sliding door in the rear of 'the house ~ leakings. This leak '' been corrected Im the event that the leak occurs again, I agree .o ~.~ requh~ed...n~ order to This guarantee to do whatever correct the problem. for one year from t~a,bove date. / / x/ Frances Rose Romes, ~TATE OF N.~ YORK COUNTY OF SUFFOLK On this/~ day o£ December 1978~ before me personally came lien Y. endozza, to me known to be the individual described in and who executed the foreseeing instrument, and acknowledged that he executed the same. JUDITH r. TERRY Nofa~/ Pt~blic, Sta~e of New York ~o. J2 03 TEL, TOWN OF SOUTHOLD E}FFIOE OF BUILDINB INSPEOTOR SOiiTHFILD, N. Y. 11~J71 7- ?-7~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ...... ..~....~.. ....... ?.~. .............. , 19......~.. Approved ........~..~.,,~. ....... ..'J.~ .............. , 19...?.8, Permit No....~.~.~ ..................... Disapproved a/c .................................. .......................................................... (Building Inspector) Application No......97...~.. ................... APPLICATION FOR BUILDING PERMIT Date um.y 1 ................................................ , ]9 78 INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sere of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION I,c; HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a~terations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in, buildings for , i ~ctio B~j(S~f~c~pp~j,.or name, if a corporation) P.O. 3ox 99~, Outcho~;ue, [,~. Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~g ILD~ 'i ........... ............. .......... ...................................................................................................................... iName or owner or premises ............................................. If applicant is a corporate, signature of duly authorized off,er ....................................................................................... Be~(~g~let~orote officer) Builder's License No ..................................................... Plumbers License ~o .................. cmectrmcman S b~cense m~o .............................................. 0 O her *rode' ' . ............................................ .~]~ ~. boca~o~ of ~d o~ wh~fh,~o~.e~ ~o~k ~um be do~. ~op ~o.: .~.~.....~.~...~.~.~ ...... bo~ ~o ...... ~Z ............... Street and Number ~/~ ts~g~n Municipali~ 2. State existing use and occupancy of premises and inCended use and occupancy of proposed construction: o. Exisiting use and occupancy b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Bui d~ng' ..~...~.1~ .......... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................. .... (Description) 4. Estimated Cost ...~.~,,5.t..0..0...0..:..0..0. ................................. Fee /'/ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~. ................... Number of dwelling units on each floor ............................ 2 If garage, number of cars ................................................................................................................ 6. If business, commercial ar mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ?2* Rear ....... ~..~. ................ Depth Height '18~ Number of Stories 1 . 9. Size of lot: Front ............. ~..*. ................................ Rear ........... ].08'. ......... ........... ...... .... Depth ...... ,1~.~.~.,.,1,.~. ........... 10. Date of Purchase ...................................... Name of Former Owner 11. Zone or use district in which premises are situated ........... NO 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded .....~.?.~ ................ Will excess fill be removed from premises: ( ) Yes ,~, ) No Grace Park . ,~: ~ l~ain St, 298.2288 14. Narne of Owner of premises -~ .............. : .................... :"~ddressRU }~er:~'~"!.~L1 PhoneNo Name of Architect .............................................................. Address ~l)' ~d~:"'~)~ ...... Phone No ....................... Fr~ce~ ~ose Hoffle~, Irlc, _.. . ..................... Nome of Contractor ........................................................ ^aaress .C~,l~.hO~te,..f;~ Phone No. 298-~288 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indi.cate all set-back dimensions from property lines. Give street and block number or description according to deed, arid show street names and indicate whether interior or corner lot. STATE OF NEW~V~lk ~S S COLJ NTY OF ........... ~.. ............... ' ................................................................... be ~g duly sworn, deposes ond says thor he is the opplicam (Name of individual signing contract) above named. Builder-Corporate Officer He is the ............................................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, a~d s duly authorized to perform or hav?~ performed the said work and to make and file th s app ication; that all statements ~contained in this appiicotion/6r/~ true to the best of his knowledge and belief; and tha~ the work wilt be performed in thu manner set forth in the application filed therewith. Sworn to before me this ...... J.~.....::.~.L; day of ............ ~'~.~ ................. , 19.'2~'.. / Notary Public,. .......................... ~'.~..~.~,.../~.... County 't~"~ ............................... TITLE NO, 7808 080 732 RtVERttESD, N.Y. . . 0 SUfflrO~ COU~T~ HEAI~TB DEPARTME~ SURVEY FOR GRACE PARK AT ~ATTITUCK OATE ~ JULY 24,192'8 .... - TOWN OF SOU~HOLD SCALE~ I = 50 SUFFOLK NEW YORK NO. 78 - 4~ · , . GUANA~TEEO TO; ' - '. su~vE~ ~s ~ wo~mN 0¢ S~C~O~ ~'" ' ' ~[W YORK S~ATE EDUCATION LAW, CHICAGO tITLE ~0. H~LTH DEPARTMENT-DATA FOR APPROVALTO CONSTRUCT AND ON Hl~ ~EHALF TO THE TITLE COMPANY, GOVERN- .' · N.ARE.TWATEEMAIN__M,.~ *SOURS. OFWATE., PRIVATE~PUBLIC__ MENTAL A~,NCYA.. LENDING ,.STITUTIO. LISTED ~THE WATER SUPPLY AND SEWAGE DISPOSALSYSTEM FORTHIS RESIDENCE OWNERS; APPLICANT~ PROPERTY LINES OR FOR ~HE E~ECTION OF FENCES OF SU~F~ COUNTY ON FEB. 14, 197~ AS Pl~ NO. ~u~u~=----~--~Nr AND LAND SURVEYOR N.~S. LICENSE NO. 12845 ~ = ~E HOWARD W. YOUNG, LAND SURVEYOR ~THE L~ATION ~ WELL(W),SE~IC TANK(ST)aC~SP~LS (CP)SHOWN HEREON N.~S. LICENSE NO. 45893 ARE FROM FIELD OB~RVATION8 AN D OR DATA OBTAIN E D FROM,OTH~,~S. FRANCES ROSE HOMES, INC. P. 0, BOX 992 CUTCHOCUE, N. Y. 1].935 TEL. 298 - 5288 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEPART M ENT - DATA FO~ APPROVAL TO CONSTRUCT -X- NEAREST WATER MA[N__Mt,~- 'N' SO~RSE OF WATER~ PRIVATE v/PUBLIC ~-~UFF. ~0. TAX MAP DI~T. $ ECTI~N ELOCK LOT ~ THER~ ARE NO DWELLINGS WITHIN' I00 ~FEET OF THiS PROPERTY OTHER THAN THOSE SHOWN HEREON. ~THE WATER SUPff~Y AND ~EWAGE DISPOSAL SYSTEM FORTHIS RESIDENCE WILL CONFORM T~HE S~NDARDS O~ TH~ SUFFO~ COUNTY OFHEA~T~SERV~ES. ~ce~{ose ~mes, ' ~0. Box gg2~ ~ut~hogu~ NY llg3{ OF ~UFFO~K COUNTY ON FF~, 14, 19F4 ~S FI~ NO. ~ B : MONUMFN? ARE FROM FIELD OBSERyATIONS AND OR, DATA OBTAINED FROM OTHERS, SURVey FOR FFPANCES F~OSE HO/V/ES LO'i'NO. /?, "EL/JAHS LANE ESTATES" AT/I~A T TITUCI~ TOWN :OF $OUTHOLD SUFFO'LK COUN~'Y, NEW YORK , SURVEY i~; A VIOLATtON OF SECTION 7209 OF THE NEW YOR~( STATE EDUCATION LAW. ~cOPIE~ OF THIS SURyEY NOT SEARING THE LAND SUR~EyC[~'S INKEO'SE~L OR EMBOSSED SEAL SHALL hOT ~[ ~ONSlDERED T~ eEA VALID TRUE COPY ~GUARA~TEES ~NDICATEO HEREON SHALL RUN ONLY TO THE pER~ON FOR ~HO~ THE SURVEY IS PREPARED AND ON HIS BEHALF TOTHE TITEE COMPANY, GOVERN- .MENTAL AGENCYAND ~ENDING INSTITUTION LISTED HEREON ~NO TO THE ASSIGNEES OFTHE LENDING INET TF~JON. GUARANT~ES 'ARE~'NbT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT SCALE: I "= ' 50 ' ' TO /KISTClNG STRUC[URES ARE FOR A SPECIFIC PUR~OS~ AND ARE NOT TO BE USED TO ESTABLISH YOUNG a YOUNG RIVERHEAD, N[W.-~ORK L ~ ) m N.~S. LICENSENO. 45893